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Analgesia for Vag HystsFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Fri Sep 5 13:40:33 2003
Heh y'all, Another new one on me today. I was just about to begin a vag hyst when the anesthesiologist asked me if I was going to use the "new" technique of injecting the pedicles, as I did my hyst, with local anesthetic. I said "say what". He then told me that because of difficultly encountered in controlling postoperative pain following a vaginal hysterectomy "several" gynecologists were using this technique. When I asked for references, he simply told me that it came from the University of Washington. I responded with the following points: 1. I have done hundreds of vag hysts and pain typically isn't a problem 2. Injecting into what are primarily vascular pedicles would seem risky to me 3. If there is concern about post-op pain management, then why not do a combined anesthesia with regional/duramorph followed by general or even a epidural PCA. He simply responded by telling me that he was only telling me what was the "newest" technique for a vag. hyst. Any comments? Lynn
-- Lynn D. Montgomery, M.D. Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net
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